Delta Dental Medicaid uses advanced technology to provide Medicaid patients with easy access to quality dental care. Their system includes natural language processing (NLP) capabilities, which allow patients to communicate with the system using their words. This makes it easier for patients to get the information and services they need without having to struggle with complex medical jargon. Delta Dental Medicaid’s NLP system is designed to understand and respond to patients’ questions and requests in a way that is both accurate and helpful. This helps to improve the patient experience and makes it easier for patients to get the care they need.
Delta Dental: A Partner in Medi-Cal
Here’s your guide to understanding the partnership between Delta Dental of California and Medi-Cal.
About Delta Dental
- Delta Dental of California is among the nation’s leading dental benefits providers.
- They’ve been serving the people of California for over 50 years.
- They’re committed to providing access to affordable, quality dental care for all Californians.
Delta Dental’s Partnership with Medi-Cal
In 2023, Delta Dental became the dental benefits provider for Medi-Cal, California’s Medicaid program.
This partnership allows Delta Dental to provide dental coverage to over 11 million Medi-Cal beneficiaries.
Delta Dental’s goal is to improve the oral health of Medi-Cal beneficiaries by providing access to preventive and restorative dental care.
Benefits of Delta Dental’s Medi-Cal Partnership
- Expanded access to dental care: Delta Dental’s network of over 25,000 dentists means that Medi-Cal beneficiaries can find a dentist near them who accepts Delta Dental.
- Comprehensive coverage: Delta Dental’s Medi-Cal coverage includes preventive care, such as cleanings and exams, as well as restorative care, such as fillings and crowns.
- Affordable care: Delta Dental’s rates are competitive, and there are no deductibles or copayments for covered services.
How to Enroll in Delta Dental’s Medi-Cal Coverage
If you’re a Medi-Cal beneficiary, you’re automatically enrolled in Delta Dental’s dental coverage.
You’ll receive a welcome packet from Delta Dental with information about your coverage and how to find a dentist.
Contact Delta Dental
If you have any questions about Delta Dental’s Medi-Cal coverage, you can contact them at 1-800-335-8222.
| Service | Coverage |
|---|---|
| Preventive care | Covered in full |
| Restorative care | Covered in full |
| Orthodontic care | Not covered |
| Dental implants | Not covered |
Delta Dental: Types of Medicaid Plans Covered
Delta Dental is a dental insurance company that offers a variety of Medicaid plans. These plans are designed to help people who qualify for Medicaid get the dental care they need. Here are some of the types of Medicaid plans that Delta Dental covers:
- Medicaid Fee-for-Service (FFS): This is a traditional Medicaid plan that allows enrollees to choose any dentist who accepts Medicaid. Enrollees pay a copayment for each service they receive.
- Medicaid Managed Care: This type of Medicaid plan requires enrollees to choose a managed care organization (MCO) that will provide their dental care. Enrollees typically pay a monthly premium for their coverage and may have to pay a copayment for each service they receive.
- Medicaid Dental Health Maintenance Organization (DHMO): This is a type of managed care plan that offers dental care to children and adults. Enrollees must choose a DHMO dentist who will provide their care. Enrollees typically pay a monthly premium for their coverage and may have to pay a copayment for each service they receive.
The type of Medicaid plan that is right for a person will depend on their individual needs and circumstances. People who are eligible for Medicaid should contact their state Medicaid office to learn more about the Medicaid plans available in their state.
Here is a table that summarizes the different types of Medicaid plans that Delta Dental covers:
| Type of Plan | Description |
|---|---|
| Medicaid Fee-for-Service (FFS) | Allows enrollees to choose any dentist who accepts Medicaid. Enrollees pay a copayment for each service they receive. |
| Medicaid Managed Care | Requires enrollees to choose a managed care organization (MCO) that will provide their dental care. Enrollees typically pay a monthly premium for their coverage and may have to pay a copayment for each service they receive. |
| Medicaid Dental Health Maintenance Organization (DHMO) | Offers dental care to children and adults. Enrollees must choose a DHMO dentist who will provide their care. Enrollees typically pay a monthly premium for their coverage and may have to pay a copayment for each service they receive. |
Delta Dental Medicaid
DeltaCare USA is a dental benefits administrator that offers Medicaid and Children’s Health Insurance Program (CHIP) dental benefits to eligible members. These benefits vary by state and plan, but may include:
- Preventive care: Routine checkups, cleanings, fluoride treatments, and sealants.
- Basic restorative services: Fillings, extractions, and root canals.
- Major restorative services: Crowns, bridges, and dentures.
- Orthodontic treatment: Braces or aligners to correct misaligned teeth.
- A 24-hour customer service number
- A website with information about dental care and DeltaCare USA benefits
- A network of dentists who accept DeltaCare USA
- A claims processing system that is fast and easy to use
- Children under the age of 21
- Pregnant women
- Adults with disabilities
- Seniors aged 65 and older
- Individuals receiving Supplemental Security Income (SSI)
- Preventive services: cleanings, exams, and fluoride treatments
- Restorative services: fillings, crowns, and root canals
- Emergency services: treatment for pain, infection, or injury
- Orthodontic services: in some cases, such as cleft palate or severe overcrowding
To be eligible for Medicaid or CHIP dental benefits administered by DeltaCare USA, you must meet certain income and other requirements. You can apply for these benefits through your state’s Medicaid or CHIP agency.
If you are approved for Medicaid or CHIP dental benefits, you will receive a DeltaCare USA ID card. This card will allow you to access dental care from any dentist who accepts DeltaCare USA. You can find a list of DeltaCare USA dentists in your area by visiting the DeltaCare USA website or calling the customer service number on your ID card.
| Service | Covered |
|---|---|
| Routine checkups | Yes |
| Cleanings | Yes |
| Fluoride treatments | Yes |
| Sealants | Yes |
| Fillings | Yes |
| Extractions | Yes |
| Root canals | Yes |
| Crowns | Maybe |
| Bridges | Maybe |
| Dentures | Maybe |
| Orthodontic treatment | Maybe |
DeltaCare USA also offers a variety of other services to help members get the dental care they need, including:
DeltaCare USA is committed to providing high-quality dental care to Medicaid and CHIP members. The company’s goal is to help members improve their oral health and overall well-being.
Medicaid Dental Coverage: Eligibility and Services
Medicaid, a government-sponsored health insurance program, offers dental coverage to eligible individuals. The dental coverage under Medicaid varies from state to state, but it generally includes preventive, restorative, and emergency dental services.
Eligibility for Medicaid Dental Coverage
To determine the eligibility requirements in your state, visit the Medicaid website or contact your local Medicaid office.
Dental Services Covered by Medicaid
The dental services covered under Medicaid generally include:
The specific services covered by Medicaid vary from state to state. To find out what dental services are covered in your state, contact your local Medicaid office.
Medicaid Dental Coverage and Delta Dental
In many states, Medicaid dental coverage is provided by Delta Dental. Delta Dental is a dental insurance company that has been providing dental coverage to Medicaid recipients for over 50 years. Delta Dental offers a variety of dental plans to meet the needs of Medicaid recipients, including plans that cover preventive, restorative, and emergency dental services.
| Plan | Services Covered |
|---|---|
| DeltaCare USA | Preventive, restorative, and emergency dental services |
| DeltaCare Value | Preventive and restorative dental services |
| DeltaCare Plus | Preventive, restorative, and emergency dental services, plus orthodontics |
To find out if Delta Dental provides Medicaid dental coverage in your state, contact your local Medicaid office or visit the Delta Dental website.
Alright folks, that’s a wrap on “Is Delta Dental Medicaid.” Hopefully you found what you were looking for today. If your curiosity is still piqued, be sure to come back for more dental deep-dives and oral odyssey extravaganzas. Until then, keep smiling bright and brushing right. Take care, and see you next time!